Leslie B. Anthony
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Statement
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FINANCIAL POLICY
AND INSURANCE
Financial Arrangements
Payment for services is
expected at the
time of
your visit. If an extensive treatment plan is presented for your
dental needs, a financial consultation is necessary prior to
treatment.
If you are unable to pay in full at the time of service for major
treatment,
arrangements can be made to extend payments over a given period of
time.
Once your treatment needs are established, fees will be discussed and
payments
agreed upon prior to the onset of treatment.
We do accept all major credit cards, cash
or
personal checks for payment.
Insurance Coverage by the
Patient's
Employer,
Retirement Plan or Self-Insured
We file
your insurance claim as a
courtesy.
However, the ultimate responsibility for payment is yours. We
file
insurance claims electronically. The usual turn-around time on a claim
is 4 to 6 weeks. The estimated un-insured, co-pay or any
applicable
deductible, not covered by your insurance, is to be paid on the date of
service. In some instances, the patient receives payment directly
from their insurance company. If your insurance company pays you
directly, we will file your claim for you but payment in full will be
required
on the date of service. If a secondary insurance is carried, we
will
also file the secondary claim for you once payment has been received by
your primary insurance. E O B (Explanation of Benefits) copies
are
required to submit the secondary insurance claim. If payment is made to
you directly and a secondary insurance is involved, you will need to
supply
our office with a copy of the EOB so that the secondary insurance can
be
submitted for you.
There are
literally hundreds of insurance
companies
available. Within each company, are many different coverages and
groups. It is impossible for us to know each patient's coverage "to the
letter". A person should review their dental policy when it is
received
or updated.
Some things
that you should know about your
insurance
coverage are:
1.) The
anniversary
date.
Does it begin at the start of each calendar year or is your coverage
date
attached to your date of hire/retirement?
2.) What is your maximum dental
benefit per calendar year?
3.) Is there a "waiting" period
for special services? ie. crowns/bridges/dentures
4.) If you have a deductible,
does it apply to your cleaning appointments or to restorative/major
work
only?
5.) Are you allowed 2
cleanings
per calendar year? Do they have to be scheduled a full six months
apart or 2 any time during a 12 month period?
6.) What time limits are
attached to the taking of x-rays? Bitewings once a year?
Full
Mouth x-rays every three to five years?
7.) Is there coverage for
Orthodontics?
8.) If a secondary insurance is
carried, which insurance is the Primary Insurance? Most often if
a married couple has "joint" coverage on their policies, the birthdate
rule applies when establishing the primary provider. The person
whose
birthday comes first in the year, is the primary insurance provider and
the other policy is considered the secondary. In some instances
this
rule applies only to the children.
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